At our institution, injectable nitroglycerin (TNG) has been employed dur ing cardiac catheterization since 1976. Initially, it was primarily used in pa tients undergoing a provocative test for coronary spasm with ergonovine maleate. After the initial favorable experience, the use of injectable TNG became routine. 1,2
References
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Gensini GG: Coronary arteriography. In: Heart Disease, ed. by Braunwald E. Philadelphia, Saunders, 1980, p. 340.
2.
Gensini GG, Esente P., Giambartolomei A., et al: Use of intracardiac nitroglycerin during cardiac catheterization . Cardiovasc Inter-vent Radiol4:270, 1981.
3.
Come PC, and Pitt B.: Nitroglycerin-induced severe hypotension and bradycardia in patients with acute myocardial infarction. Circ54:624, 1976.
4.
Buxton A., Goldberg S., Hirshfeld J., et al: Refractory ergonovine induced coronary vasospasm, importance of intracoronary nitroglycerin. Am J Cardiol46:326, 1980.
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Heupler FA, Jr.: Provocative test for coronary artery spasm: risk, method and rationale. Am J Cardiol46:335, 1980.
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Chetterjee K. , Parmley WW, Swan Hjc, et al: Beneficial effects of vasodilator agents in severe mitral regurgitation due to dysfunction of subvalvular apparatus . Circ48:684, 1973.